Mutational status of KRAS, NRAS, and BRAF in primary clear cell ovarian carcinoma

Ovarian clear cell carcinoma (OCCC) is a subtype of epithelial ovarian cancer with characteristic biological features and aggressive clinical behavior. OCCCs show a pattern of gene mutations different from other type I ovarian malignancies, notably a higher frequency of PIK3CA mutations. In low grad...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2014-08, Vol.465 (2), p.193-198
Hauptverfasser: Zannoni, Gian Franco, Improta, Giuseppina, Chiarello, Gaia, Pettinato, Angela, Petrillo, Marco, Scollo, Paolo, Scambia, Giovanni, Fraggetta, Filippo
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container_title Virchows Archiv : an international journal of pathology
container_volume 465
creator Zannoni, Gian Franco
Improta, Giuseppina
Chiarello, Gaia
Pettinato, Angela
Petrillo, Marco
Scollo, Paolo
Scambia, Giovanni
Fraggetta, Filippo
description Ovarian clear cell carcinoma (OCCC) is a subtype of epithelial ovarian cancer with characteristic biological features and aggressive clinical behavior. OCCCs show a pattern of gene mutations different from other type I ovarian malignancies, notably a higher frequency of PIK3CA mutations. In low grade serous ovarian cancer, KRAS and BRAF mutations are frequent, but little data are available on the mutational status of these genes in OCCCs. To clarify this issue, we designed a clinicopathological study with the aim to establish the incidence of KRAS , NRAS , and BRAF hot spot mutations in OCCC. Between December 2006 and June 2012, 22 patients with a proven diagnosis of OCCC were admitted to our Institutions. In all cases, final diagnosis was established according to FIGO and WHO criteria. All women received complete surgical staging. The PyroMark Q24 system (Qiagen GmbH, Hilden, Germany) was used for pyrosequencing analysis of KRAS , NRAS , and BRAF hot spot regions on 2.5-μm sections of formalin-fixed paraffin-embedded tissue from primary OCCC. Pyrosequencing analysis of KRAS , NRAS, and BRAF hot spot regions revealed the presence of mutations only at codon 12 in exon 2 of KRAS in 3 of 22 (14 %) cases. We found no mutations in the hot spot regions of NRAF (exons 2, 3, 4) or BRAF (exon 15). The median age of women with a KRAS mutated OCCC was 74 years. These OCCC were unilateral FIGO stage IA lesions in two cases associated with foci of endometriosis. We conclude that in 14 % of OCCCs, a KRAS mutation occurs in codon 2 exon 2. NRAS and BRAF mutations were not found.
doi_str_mv 10.1007/s00428-014-1599-1
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subjects Adenocarcinoma, Clear Cell - genetics
Adult
Aged
Codon - genetics
DNA Mutational Analysis
DNA, Neoplasm - genetics
Exons - genetics
Female
GTP Phosphohydrolases - genetics
Humans
Incidence
Medicine
Medicine & Public Health
Membrane Proteins - genetics
Middle Aged
Mutation
Original Article
Ovarian cancer
Ovarian Neoplasms - genetics
Pathology
Proto-Oncogene Proteins - genetics
Proto-Oncogene Proteins B-raf - genetics
Proto-Oncogene Proteins p21(ras)
ras Proteins - genetics
Retrospective Studies
Sequence Analysis, DNA
title Mutational status of KRAS, NRAS, and BRAF in primary clear cell ovarian carcinoma
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